I-endoscopy ye-capsule yiyona nto ezwakala ngayo-iphilisi (i-capsule) equkethe ikhamera. Ngemuva kokuthi iphilisi igwinyiwe ehhovisi likadokotela, kuthatha izithombe njengoba lihamba emathunjini amancane . Iziguli zigqoka ibhande elithola ukudluliselwa kusuka kuphilisi bese liloba izithombe. Ngosuku olulandelayo, isiguli singabuyisa udokotela kudokotela, obese ethola izithombe.
Izithombe ezithathwe iphilisi zinganikeza udokotela umbono omuhle kakhulu ngokuthi yiziphi izici zamathumbu amancane abonisa noma yikuphi umsebenzi wesifo. Lokhu kungasiza ekuqapheleni ukuqhubeka kwesifo, kanye nokuhlela uhlelo lokulashwa. Ezinye zezingozi ukuthi ikhamera ingabanjwa emathunjini noma ukuthi kungaba nzima kakhulu ukugwinya.
Ubani Umbuzo?
I-endoscopy ye-Capsule ivunyelwe ukusetshenziswa kubantu abane-Crohn's disease emathunjini amancane. Kungasetshenziswa kokubili izingane kanye nabantu abadala. I-endoscopy ye-capsule ingasetshenziswa yedwa, noma ngemva kokuhlolwa kwesinye, njenge-endoscopy engenhla.
Kwezinye izimo zesifo sikaCrohn, ukuvuvukala kutholakala emathunjini amancane kuphela-intumbu enkulu ayibonisi izimpawu zesifo. Kulezi ziguli, i-capsule endoscopy ingasetshenziswa ukuhlola isifo sabo se-Crohn.
Ubani Ongewona Umbuzo?
Kwabanye abantu, iphilisi ngeke ibe yisinqumo esihle sokubona ngaphakathi kwamathumbu amancane.
I-capsule equkethe ikhamera incane kakhulu, kodwa cishe cishe amathuba angu-2% ukuthi angagcinwa emathunjini amancane (ukuthi iphilisi ingakwazi "ukunamathela"). Ukuba nokuvimbela emathunjini, isisu, noma i- fistula ingavimbela i-capsule ukuba idlule yonke indlela ngokusebenzisa indlela yokugaya .
Uma i-capsule igcinwa, ukwelashwa kungadingeka ukuze kuvunyelwe ukuthi kudlule noma ukuyibuyise.
Ezinye izimo ezivimbela ukusetshenziswa kwe-endoscopy ye-capsule zigwinya izimo nezinkinga zenhliziyo ezidinga ukusetshenziswa kwe-pacemaker.
Izingozi
Kwamanye abantu, i-capsule kungenzeka ingakwazi ukudlula yonke into emathunjini amancane. I-capsule inethuba elincane lokuthola "ukunamathela" uma kukhona ukuvinjelwa noma ingxenye encane emathunjini amancane. Uma i-capsule ingadluli, isiguli siyodinga ukuqapha eduze. Kwezinye izimo, ukuphatha izidakamizwa ezingasiza ukuvula indawo evinjelwe kungasiza i-capsule ukuba iqhubeke emathunjini.
Kukhona futhi ingozi encane yokufuna (i-choking on) iphilisi ngenkathi uzama ukuyigwinya. Abanye abantu baye babika ukuthukuthela isikhumba esikhulayo ngemuva kokugwinya i-capsule.
Ukusetshenziswa
Isifo sika-Crohn singathinta noma yikuphi ingxenye yegciwane lokugaya, kusukela emlonyeni kuze kube yilapho i-anus. Ukukwazi ukubona ngeso lengqondo zonke izingxenye zendlela yokugaya ukudla kuyinkinga enzima. Kunezivivinyo eziningana zokuhlola izithombe ezingabheka ezingxenyeni ezihlukene zendlela yokugaya: i- endoscopy engenhla inganikeza ukutholakala kwesisu, isisu, nesisu somzimba esincane; i- colonoscopy ingasiza udokotela ukubona i-rectum nomathumbu omkhulu .
Kodwa-ke, kukhona ingxenye yesiguli esincane esingenakufinyelelwa nge-endoscopy engenhla noma i-colonoscopy. I-endoscopy ye-Capsule ingavumela udokotela ukuthi abone noma yikuphi ukuvuvukala, ukuphuma kwegazi, noma omunye ubufakazi bokusebenza kwesifo sikaCrohn kuleyo ndawo.
Ingabe Kukhona I-Prep With Endoscopy Capsule?
Yebo, ukuze uthole i-capsule endoscopy, isilwane esincane kumele senziwe ngaphambi kwesikhathi. I-prep, noma kunjalo, iqondana kahle futhi ngokuvamile ayidingi imithi noma i-enemas. Okokuqala, ukuqala cishe emini ngosuku ngaphambi kokugwinya i-capsule, kufanele kulandelwe ukudla okunomsoco. Iziguli kufanele zidle ubusuku ngaphambi kokuba zihlelwe ukugwinya i-capsule, ngokuvamile ziqala phakathi kwamabili.
Ngokuvamile, ukudla okuvamile kungabuyekezwa cishe amahora amane emva kokugwinya iphilisi ehhovisi likadokotela. Lezi ziqondiso kuphela, kepha-ke, nodokotela ophethe ukuhlolwa uzonikeza imiyalelo ecacile mayelana nokuthi ungalungisa kanjani.
Kwezinye izimo, iphilisi "lokuhlola" linganikezwa ngaphambi kokuthi iphilisi lekhamera liqondiswe. Iphilisi lokuhlola, elibizwa ngokuthi i-capency cap, lizoqedwa ngokuphelele emathunjini futhi lilingana nephilisi langempela. Ukunikeza iphilisi yokuhlola kuphelele ekuboneni udokotela odokotela, futhi anganikezwa uma kunethuba lokuthi iphilisi yekhamera ingabanjwa emathunjini amancane. Uma i-capsule ye-patency idlula emzimbeni ngaphandle kwesigameko, ingabonisa ukuthi iphilisi lekhamera langempela lizodlula.
Kuthatha isikhathi eside kangakanani ukudlula?
Ukuhlolwa kugcwaliswe cishe amahora angu-8 ngemuva kokugwinya i-capsule. Kubantu abaningi, iphilisi idluliswa ngokunyakaza kwamathumbu phakathi kwamahora angu-24 no-72 ngemuva kokuthi igwinye.
Imithombo:
I-Given Imaging Ltd. "I-PillCam SB yezifo zikaCrohn." 2016. PillcamCrohns.com.
Albert JG. "Ukucabanga Okuncane Kwamazinyo Ekulawuleni Iziguli ZaseCrohn." I-Gastroenterol Res Pract . 2012; 2012: 502198.